Evaluation of the effectiveness of sodium hypochlorite used with three irrigation methods in the elimination of Enterococcus faecalis from the root canal, in vitro.
The effectiveness of 4.0% sodium hypochlorite (NaOCl) used with three irrigation methods in the elimination of Enterococcus faecalis from the root canal was tested in vitro. Root canals contaminated with E. faecalis were treated as follows: (i) irrigation with 2 mL of NaOCl solution and agitation with hand files; (ii) irrigation with 2 mL of NaOCl solution and ultrasonic agitation; (iii) irrigation with NaOCl alternated with hydrogen peroxide. Contaminated canals irrigated with sterile saline solution served as the control. Paper points used to sample bacteria from the root canals were transferred to tubes containing 5 mL of brain heart infusion (BHI) broth. Tubes were incubated and the appearance of broth turbidity was indicative of bacteria remaining in the root canal. There were no statistically significant differences between the experimental groups. However, NaOCl applied by the three methods tested, was significantly more effective than the saline solution (control group) in disinfecting the root canal.
Siqueira
J F
JF
Laboratory of Oral Microbiology, Institute of Microbiology Paulo de Góes, Federal University of Rio de Janeiro, Brazil.
Machado
A G
AG
Silveira
R M
RM
Lopes
H P
HP
de Uzeda
M
M
D016009:Chi-Square Distribution; D003481:Cuspid / Q000382:microbiology; D019551:Dental Disinfectants / Q000008:administration & dosage*; D003786:Dental Pulp Cavity / Q000187:drug effects / Q000382:microbiology*; D003788:Dental Pulp Diseases / Q000188:drug therapy* / Q000382:microbiology; D004353:Drug Evaluation, Preclinical; D013293:Enterococcus faecalis / Q000187:drug effects* / Q000302:isolation & purification; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy* / Q000382:microbiology; D006801:Humans; D066298:In Vitro Techniques; D012390:Root Canal Therapy / Q000379:methods*; D012973:Sodium Hypochlorite / Q000008:administration & dosage*; D007507:Therapeutic Irrigation / Q000379:methods
D019551:Dental Disinfectants; D012973:Sodium Hypochlorite